86-214 BUILDING PERMIT
TOWN OF QUEENSBURY No. 86-214
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to John Gavin
OWNER of property located at Upper Ridge Road Street,Road or Ave.
LI
in the Town of Queensbury,To Construct or place a Two—Car Attached Garage ct
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. w
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1. OWNER'S Address is Star Route 0
Glens Falls, New York
2. CONTRACTOR or BUI LDER'S Name
Bruce Kropka
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3. CONTRACTOR or BUILDER'S Address `d
25-5 Robert Gardens '1
Glens Falls, New York ,v
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Ca.,
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4. ARCHITECT'S Name rD
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O
W
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5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
(x)Wood Frame ( 1 Masonry ( )Steel ( 1
7. PLANS and Specifications
No. 24'x26' per plot plan, specifications and application o
submitted. I
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8. Proposed Use rt
Two—Car Attached Garage for One—Family Dwelling rt
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$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES December 1 1g 86 c
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the ri
town of Queensbury before the expiration date.) IN
al
Dated at the Town of Queensbury this 12th Day of Nay 1g 86
SIGNED BY -ma L! .00 for the Town of Queensbury
Building and Zoning Inspector C
TO BE COMPLETED BY BLDG. DEPT.
�] Application No.
.Down of Queeniturty Permit Issued 19
BUILDING and ZONING DEPARTMENT Pernt Expires 19 k TOWN OF QUEENS U- .,
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation [� (B}G ( ��
Queensbury, New York 12801 Variance No. �44 J [E ., �,
Site Plan Review No. Li
�� MAY 8 16
Approved by: ita g�8,
APPLICATION FOR
:7I8l9 , 112)3)4J5 8
e e ® <
BUILDING AND ZONING PERMIT L
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ::*
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING.
The undersigned hereby applies for a Building Permit to do the following work which will
be done in accordance with the description, plans and specifications submitted, and such
special conditions as may be indicated on the Permit.
The owner of this property is: (:NN,� 0`3t:3.,,,c-N
P.O. Address to f`�.t ` 2. c-,\g S \--0 'R Tel.loka .S.klaa_
Property Location: (Q,,4N ;&C ` . Tax Map No.01.1 // /7;3
Street number or\building lot number
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
Name P.O. Address Tel. No.
Name of builder` ,n. Address s-_ ,, Q. :, Tel. 1.C\f t. `1%
Name of plumber Address e, Tel.
Name of masoria;U t4v., ,_,,i-c,_ e,e,i:4• ess Z ,f e,-,,, Tel. 0 (,"7 1
NATURE OF PROPOSED WORK: * ZONING INFORMATION.
Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
X Addition to a building * drawn reasonably to scale and attached hereto,
Alteration to a building * showing clearly and distinctly all buildings,
(no change to exterior dimensions) * whether existing or proposed and indicate all
Other work (describe) * set-back dimensions from property lines. Give
* street and number or lot number and indicate
FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location
LOCATION OF STRUCTURES AFFECTED. *
of water supply and location and configuration
* of septic disposal area.
*
* COMPLETE INFORMATION REQUIRED BELOW.
* Size of property '3 : . ft X ' "(a;) ft.
* Existing building(s) Size t% ft X ao ft.
*
PROPOSED BUILDING AND USE: * Existing building(s) Uses
Size of new structure Q.'-I ft X a(„,ft
Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line
(circle one) * Front ft Rear ft
No. of stories (habitable space) * yardWit' yard ���
Height (grade to ridge) eft. * Side yards 0 ft and Isla ft
If residential, no. of families * If on corner, setback from side street ft
No. of rooms(excluding baths) * OCCUPANCY" INFORMATION
No. of bedrooms Nc: ** PRIMARY BUILDING -
No. of bathrooms a,;;o ,
,,mot *
Primary heating system One family dwelling
Type of fuel * Two family dwelling
�'`��k_ * Multiple dwelling / Number of units
No. of fireplaces to be installed -,1,,,1y
Will a wood stove be installed? * Permanent occupancy
�"�•�` * Transient occupancy
Central Air conditioning? ,,,;k * Business
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
Ranch Contemporary Log cabin * Other
Raised ranch Mansion Duplex * If addition, what will use be?
Split level Old style Bungalow *
Cape Cod Cottage Other * ACCESSORY BUILDING-
Colonial Row Town House * Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) * ii Attached garage/one car/ two c r/ car
* * * * * * * * * * * * * * * * * * Private storage building
ESTIMATED MARKET VALUE OF * Other
CONSTRUCTION *
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Irm BPA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe,etc.
Will any second-hand or ungraded lumber be used? If so, for what? ,N_
Foundation wall material C ct� K Thickness cg xl<t; L
zy
Depth of foundation below grade (to bottom of footing) ytir,
Will there be a cellar? _ , Heated or unheated? vs.,, Floor sq. footage sq ft
Will there be a basement? 1v� Will any portion be used as living space? Av ,
(If so, what portion? sq.ft. - - Type of use?
Type of roof - sloped/flat/shed/other Material of roof y,,
Size, wood studs a X 11 spacing i� o.c. length )5 ft.
Joists(floor beams) 1st. floor "X " spacing "o.c. span ft.
Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft.
Overlays(ceiling beams) "X " spacing "o.c. span ft.
Roof rafters "X " spacing o.c. span ft.
Roof trusses(pre-engineeared) spacing "o.c. span 2(;, ft.
Exterior wall finish Yi.y (," (~„. ;,t.a Of what material?
Interior wall finish
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
Is there t6 be an opening between garage and dwelling? If so will a Fire-rated
door, enclosure, and self-closing device be provided? x
Will a flue-lined chimneybe installed? g 3cn
r,.. Height aboJe roof ft.
Depth of chimney foundation below grade ft.
Depth of fireplace hearth ft. in.
Water supply - Municipal or private well
SEPTIC SYSTEM Distance from ANY private well(including adjoining properties ft.
(A separate application is necessary for any repair or new installation of septic system)
Town of Q Warren AFFIDAVIT STATE OF NEW YORK
County of Warren
I swear that to the best of my knowledge and belief the statements contained
in this application, together with the plans and specifications submitted, are a true and
complete statement of all proposed work to be done on the described premises and that all
provisions of the BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to
the proposed work shall be complied with, whether specified or not, and that such work is
authorized by the owner.
SWORN TO BEFORE ME THIS Signature_ _-Owner, own 's agent,ar itect,contractor
day of 19
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
By
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date .Sl
Name t '4 VtIV
Location Z D« /la
Pernik No. $to - of I`f Weather
642/4‘4' Remarks
Excavation
Footing Forms
Footing & Piers L/
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Fotindaticn
Walls
Ceiling
--7*/(1 i/
Bui ding Inspector
REMARKS �/�
[%ITORTJJERAT 51 Glenwood Avenue
Glens Falls, New York 12801 (518) 798-6007
HOMESand The Sawhorse Division of Northern Homes
3,01,A.1 G \\It Fro
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